Provider Demographics
NPI:1881448744
Name:HAMILTON, MICAYLA NICOLE
Entity type:Individual
Prefix:
First Name:MICAYLA
Middle Name:NICOLE
Last Name:HAMILTON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3411 DOVE SHORES LN
Mailing Address - Street 2:
Mailing Address - City:PEARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:77584-5997
Mailing Address - Country:US
Mailing Address - Phone:281-630-9559
Mailing Address - Fax:
Practice Address - Street 1:3411 DOVE SHORES LN
Practice Address - Street 2:
Practice Address - City:PEARLAND
Practice Address - State:TX
Practice Address - Zip Code:77584-5997
Practice Address - Country:US
Practice Address - Phone:281-630-9559
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-04-16
Last Update Date:2024-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program